Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza
de l’Adolescence
Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques
FRIDAY, May 6 WORKSHOPS
Workshop 18 Narrative and symptoms in longitudinal studies
INFANT PSYCHOPATHOLOGY. SYMPTOM PATTERNS, PARENT CHILD RELATIONSHIP AND
PARENTAL PSYCHOPATHOLOGY. WHAT CAN 328 CASES TELL US?
SYMPTOMS PATTERNS AND PARENTAL CHALLENGES
Martin Maldonado-Duran University of Missouri, Kansas City (Missouri - US)
We present findings of 328 consecutive cases
of infants evaluated in our mental health clinic:
Demographic data focus on the psychosocial
context of the infant and the parental characteristics.
The Zero to Three diagnoses assigned, as well
as the quality of the caregiver-infant relationship
are given, as well as data on medical issues,
stressors faced by the child/family the presence
or absence of parental psychopathology.
We examine the most commonly found diagnostic
entities, including regulatory disturbances
and its various subtypes, adjustment disorders,
disorders of relating and communicating and
anxiety disorders, including traumatic stress
disorder. We examine the implications for the
diagnosis and treatment of these situations.
Also, we present the correlation between symptom
patterns and various infant and parental
characteristics, like the syndrome of “excessive
250
crying”, “sleeping difficulties” and “feeding disturbances”.
On the parental side, substance use
problems, depression, other mood disorders and
anxiety disorders.
Symptoms in the baby often coexist with sensory
integration difficulties, motor problems and
organizational challenges in general. Sleeping
difficulties are seldom isolated, and end to coexist
with other regulatory problems, the same is
found in feeding difficulties. 65% of infants were
diagnosed as having a regulatory disturbance.
These vulnerabilities in the baby are faced by
caregivers with different approaches, taxing the
parents who are already depressed or highly
stressed.
We explore the implications of these findings
in terms of the needs of a thorough evaluation
in the various domain of functioning, the parent
child relationship, the caregiver as an individual,
and the socio-psychological and cultural features
of the infant’s environment.
This work presents the findings of a series of infants examined in collaboration with the staff at the Menninger Clinic, Peter
Fonagy as our consultant.